2012, 02-02 Permit App: 12000204 ResidenceProject Number: 12000204 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/2/2012 Page 1 of 3
Project Information:
Permit Use: SFR W/2 -CAR ATT GAR Contact: KEVIN MADDEN HOMES, LLC
Address: 122 N RAYMOND #3
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 217-6700
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
Parcel Number: 46344.0601
Block: Lot:
SiteAddress: 5210 N MAYHEW RD
Location:: CSV
Zoning: R-3
Water District:
Area: 6.47 Acres
Nbr of Bldgs: 0
Review Information:
Review
Building Plan Review
SF Res District
Width: 0
Nbr of Dwellings: 0
District: Nort
Owner: Name: LOTS N LAND
Address: 122 N RAYMOND #3
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Originally Released: 1/31/2012 By: tmelbourn
Landuse/Zoning/HE Conditions
Sewer Review
Permits:
Released By:
Originally Released: 1/30/2012 By: mharnois
Released By:
Originally Released: 1/30/2012 By: JDAVIS
Operator: JD Printed By: MBB
Print Date: 2/2/2012
Project Number: 12000204 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/2/2012 Page 2 of 3
Building Permit -
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: 122 N RAYMOND #3 Phone: (509) 217-6700
SPOKANE VALLEY, WA 99206
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 562 $57,835.42 562 $57,835.42
2ND FLOOR R-3 VB 1,258 $93,356.18 1,258 $93,356.18
DECK OPEN R-3 VB 93 $1,395.00 93 $1,395.00
GAR WOOD U-1 VB 575 $10,925.00 575 $10,925.00
Totals: 2,488 $163,511.60 2,488 $163,511.60
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $1,352.15
WSBCC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $540.86
Permit Total Fees: $1,897.51
Mechanical Permit
Contractor: KEVIN MADDEN HOMES LLC Firm: KEVIN MADDEN HOMES LLC
Address: 122 N RAYMOND #3
SPOKANE VALLEY, WA 99206
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS 1 DUCT
HOOD -TYPE II
Phone: (509) 217-6700
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 #OF UNITS
3 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: MBB
Permit Total Fees:
Fee Amount
$11.00
$13.00
$2.00
$33.00
$11.00
$70.00
Print Date: 2/2/2012
Project' Number: 12000204
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/2/2012
Contractor: KEVIN MADDEN HOMES LLC
Address: 122 N RAYMOND #3
SPOKANE VALLEY, WA 99206
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: KEVIN MADDEN HOMES LLC
Phone: (509) 217-6700
Units
2
4
2
1
1
1
1
Fee Amount
$1,897.51
$70.00
$72.00
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,897.51
$70.00
$72.00
$2,039.51 $2,039.51
Fee Amount
$12.00
$24.00
$12.00
$6.00
$6.00
$6.00
$6.00
$72.00
Amount Paid
$511.74
$0.00
$0.00
$511.74
Amount Owing
$1,385.77
$70.00
$72.00
$1,527.77
Page 3 of 3
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: MBB Print Date: 2/2/2012
$451cane
4000%Hey
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
ACCESSORY BUILDING
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenterna sookanevallev.orq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE:
NEW CONSTRUCTION ow ADDITION/REMODEL
DECK ,} A ' OTHER
SITE ADDRESS: t22 V...9 , 6" L!-� i O.W '`
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION: � 1 [ m. L
BUILDING OWNER NAME:
NAME:
Leri,- 1\1- Lb► c LL Gi
ITYF, D N
ADDRESS: i, j t4. ?„ /�`p T"' 7i
CM':
� STATE: IA1
D . ZIP:
PHONE: Z.11 i• Co/00FAX: 11' - c71 15 CELL: i'L 61(2e2
CONTACT NAME:
112 -Do
PHONE: 1 ) i 1) UN. tJ DD 04 FAX: 1� Of 4 Y5 CELL: Z L / (d l 00
CONTRACTOR NAME: t/ W [t1 fY'¢ j��( ,� p� �> LL G
MAILING ADDRESS: 17,2, . ,N.-"(-1•41221sip�
CITY: /-/j�%OK .1 a L.L ' STATE: 1,146.
PHONE: [/ - 6400 vV FAX: CVS 1,—I,5j CELL:
ZIP:
V1 -moo
CONTRACTOR LICENSE No.: 44La mil 96440 EXPIRES: - t2• +Z, CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE PROPOSED USE:
1.1 P.l glo�rl�'�D t, Gv►�t i��k.'1 k l
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Hei h�t °� ak:
9'U!
Dim ions•
l 1 Y. "' ,
No. of Storjes:
}1✓
Total Ha i b e
Space: 4.F.
Main FI r FT.
. F.
3
Upper Floor SQ FT:
—/2 &
Unfin' hed asement
FT: ' . A)/4
FinishedBasement SQ
FT: f
Garage SQ FT:
fi
l !c7 1•• .
Old
Deck/Covered Patio SQ
FT: 61f
%. �►
Impervious urface
Area: /\
30% Slopes on
Property: I►aI
No. of Bedrooms:
'
Construction Type: awl)
Heat Sour
: L LLj
we r Se
c:
TOTAL COST OF PROJECT: $ ip. c0
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcentengspokanevallev. org
PERMIT NUMBER:
PERMIT FEE:
n Commercial Residential
SITE ADDRESS: %11.7 FJ . tit/S:11411J
Building Owner
Name: O'« - - L+1mt4p L• L Ci
Contractor ``''� `'
Name: iga..
.\J IA) pDe-r1 6I t E 116Address. 1 Yl0N.OA5
License No:� L tvt 14 164 g
Contact/Htiject Maaager:
Name:
Address:
Phone: 640
l Fax: (Al2/4 17
dNE I t,I�`T. State: i
Fax .1Z1 0196
(01.41‘�r State: 4
Phone. L-/--042•2
City/A.4,, �t
City__ B//usmess�LLiic`:�
Zip: 14,4„Z047
Zip: OC(,'L !i(/(07
Phone: (7 t/J„
J . . - ... v • ..,-. MI . 111
//UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & induding 100,000 BTU
1
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
I
HEAT PUMP/AIR CONDITIONER
0-3 TON
AIR CONDITIONER
. Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM (each outlet)
4. -
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 - 15 hp — 100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM •
Over 30 hp— 1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp — over 1,750,000 BTU
AIR HANDLER (DOES NOT indude ducting) R
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT indude ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type 1
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
❑CASH 0 CHECK 0 VISA 0 MC
CARD It:
EXPIRES:
SIGNATURE
VIN:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokaneval lev. org
Community Development
Plumbing Permit Application l ,�
SITE ADDRESS: 51. i 0 1. tom` L4-00 �^+
PERMIT NUMBER:
PERMIT FEE:
n Commercial VResidential
Building Owner
1.4A41) h / Phone:v� ^ / �1 0 Fax 9/� l� 1,g 5
Name: �j:, � 1\1, W,�.V �L(i !� � l LV
�1_!/ o, c� y� ,G�, /J
Address: l l.,�i lam N>Y �i1) iC, Crty'�[12a.l`�� d�.l � State: I 1i + Zip. GIS (�0�
Wr.. Y Y
.
Contractor
/f
Name: �r,vit4 MR.�:Dpet4 yap,' 0,2 �LG Phone::i!/v-7,,(/7 Fax
1%L1Address:`1g
1 1
„�r) City. 3Rvidx lg Vou.u.y State: Zip_ G{/� �5iv
License No: G i 14 M H r(s City Business Lic:
+
Contact/Projject Manager:1
Name: K g41,14 fgN Phone: Doi.. (4
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
1.
URINALS
TUBS
!/
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
/�
�T
DISHWASHER
.
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
I
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
OCASH 0 CHECK 0 VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE:
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SPor' CouNaY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 5210 N MAYHEW RD
Parcel Number: 46344.0601
Subdivision: CITY OF SPOKANE VALLEY
Block: 1 Lot: 7
Zoning:
Owner: LOTS -N -LAND, LLC.
Address: 122 N. RAYMOND RD. #3
SPOKANE VALLEY, WA 99206
Building Inspector:
Water Dist:
Project Number: 12000119 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION
1/11/2012
Applicant: LOTS N LAND LLC
122 N RAYMOND RD #3
SPOKANE VALLEY, WA 99206 Phone: (509) 217-6700
Contact: LOTS N LAND LLC
122 N RAYMOND RD #3
SPOKANE VALLEY, WA 99206 Phone: (509) 217-6700
Setbacks - Front:
Group Name:
Project Name:
Left: Right: Rear:
Permits
Sewer Connection Permit
Contractor: C & L EXCAVATION
License #: CLEXCLE962RP
SEWER CONNECTION 1 $125.00 PROCESSING FEE
Total Permit Fee:
1 $25.94
$150.94
**FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUBS AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
Payment Summary
Total Fees AmountPaid AmountOwing
$150.94 $150.94 $0.00
Tran Date
1/11/2012
Processed By: DOMPIER, DAWN
Printed By: Force, Faith Page 1 of 1
Receipt # Payment Amt
109 $150.94
PERMIT
NOTICE
It is the responsibility of the applicant/permittee to see to it that the use described on the front of this permit complies with applicable codes and
requirements and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before
progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the applicant's/permittee's
or property owner's expense. At a minimum, the following inspections ARE REQUIRED by County Code:
1. FOOTING - all structures, including manufactured homes when forms and reinforcement are in place and prior to placement of concrete.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zon-
ing regulations. Front, flanking, side and rear yard setbacks are measured from property lines. Curb lines and fence lines are not necessarily
indicative of property lines. In some residential areas, the County can own as much as 20 feet of right-of-way between your property and the
actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely with the permittee—neither Spokane
County nor its authorized representatives assume any responsibility for the verification or location of your property lines. Please verify their
location prior to locating your structure. Failure to properly locate the structure may require its relocation at the owner's/permittee's expense.
2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete.
3. FRAMING - after all framing, bracing and blocking is in place, plumbing, mechanical rough -in inspections have been approved, and prior to
concealing.
4. INSULATION - prior to the installation of drywall.
5. PLUMBING - after rough -in, before covering, and final.
6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL - all permits - when complete and prior to occupancy and/or use. Please provide 24 hours notice. NOTE: In addition to inspection of
the structure, this inspection includes review of site improvements (typically depicted on the approved site plan) required by ordinance or as a
condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on-site drainage ("208 swales"),
road improvements, parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final ap-
proval of a building or issuance of a Certificate of Occupancy.
8. MANUFACTURED HOMES - foundation inspections prior to pouring pads, inspection of blocking/tie-downs, when completed per
manufacturers installation instructions. Final Inspection approval prior to occupancy: stairs, handrails, skirting, etc., installations completed
WAINS Tag(s) must be affixed to the home, completed inspection record card and manufacturer's installation instructions must be available on
site.
9. SEWERS - prior to cover
10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, or, if gravel approach, after completion.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc., must be
inspected prior to cover. Check with the department for "special inspections" in conjunction with commercial projects.
FOR INSPECTIONS:
TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24 HOUR NOTICE .
PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS
FROM MORE THAN ONE AGENCY.
• Building, plumbing, mechanical and fire inspections -Department
of Building & Planning 477-3675
• Construction in a flood plain - Division of Engineering & Roads 477-
3600
• Electrical wiring - State Department of Labor and Industries 324-2640
• On-site waste disposal system, Spokane Regional Health District
324-1560
• Road cuts for utilities or driveways - Division of Engineering &
Roads - 48-HOUR NOTICE REQUIRED 477-3600 or State
Department of Transportation 456-3000
• Sewer connection, Division of Utilities- 477-3604 or City Pub-
lic Works Department 625-6300
• Asbestos, Renovations, and Demolitions - Spokane Regional
Clean Air Agency 477-4727
PERMIT EXPIRATION & EXTENSION
Building permits shall automatically expire and become invalid by limitation of time three (3) years from the date of permit issuance. Other permits not
issued in conjunction with the construction or completion of a building or structure shall automatically expire and become invalid by limitation of time
18 months from the date of permit issuance. The Director is authorized within his/her discretion to grant one (1) extension of time, for a period not to
exceed 180 days. A request for an extension shall be made by the permit holder in writing and shall be submitted to and received by the Spokane County
Building and Planning Department prior to the expiration date of the permit and shall demonstrate just cause for the requested extension.
REFUNDS
The building official may authorize refunding: (1) Any fee paid which was erroneously paid or collected; or, (2) Not more than 80% of a permit fee
paid when no work has been done under the permit; or, (3) Not more than 80% of the plan review fee paid when an application for a permit for which
a plan review fee has been paid is withdrawn or canceled before any plan reviewing is done; or, (4) Any fee paid except on written application filed
by the original permittee not later than 180 days after the date of fee payment. Please note that application processing fees are nonrefundable unless
the application was erroneously processed.
MISTAKE?
If you think we've made an error in processing this permit or find erroneous information on the permit, please bring it to our attention immediately
by filing a written request for correction within 10 working days of discovery. All such requests should be directed to the Department of Building
and Planning at:
Spokane County Department of Building & Planning
1026 West Broadway Avenue Spokane, WA 99260
Phone: (509) 477-3675 Fax: (509) 477-4703 TDD: (509) 477-7133
REVISED 12/10 BLDG PERMIT